Does atropine treat myopia in children?

Generally, low-concentration atropine can slow the progression of myopia in children but cannot cure it. Some children may not be suitable for its use due to specific eye conditions. If there are concerns, it is recommended to consult a healthcare professional in advance. Detailed analysis is as follows:

If a child's myopia progresses rapidly (more than 50 degrees per year) and there are no contraindications such as glaucoma or ocular allergies, low-concentration atropine may be used under medical supervision. These medications help slow the progression of myopia by relaxing the intraocular muscles and inhibiting excessive axial elongation of the eye, thereby controlling the increase in refractive error. They must be used regularly according to prescribed dosages.

If a child’s myopia is stable (progressing less than 25 degrees per year), or if they have severe dry eye, ocular inflammation, or an allergy to atropine components, the medication is not suitable. Using it indiscriminately may cause eye discomfort (such as photophobia or blurred near vision) and could worsen existing eye conditions, which would be counterproductive for myopia management.

A comprehensive eye examination is required before starting atropine to rule out contraindications. Regular follow-up assessments of visual acuity, axial length, and intraocular pressure should be conducted during treatment. If significant discomfort occurs, discontinue use immediately and seek medical advice—do not adjust the dosage or continue long-term use without medical supervision.